CMC-NORTHEAST, INC. (NPI# 1972806321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972806321 |
| Entity Type | Organization |
| Organization Name | CMC-NORTHEAST, INC. |
| Other Organization Name | CAROLINAS PEDIATRIC NEUROLOGY CARE - CHARLOTTE SPECIALTY CENTER |
| Practice Address |
1001 Blythe Blvd Suite 200 Cpnc - Charlotte Specialty Center Charlotte NC 28203-5866 |
| Practice Telephone | 7043818840 |
| Practice Fax Number | 7043818848 |
| Mailing Telephone | 7043818840 |
| Mailing Fax Number | 7043818848 |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2011-11-15 |
| Authorized Official Name | FRIEDA M LOWDER (SR VP) |
| Authorized Official Telephone | 7044034146 |
| Is Organization Subpart | Y |
| Parent Organization Name | CMC-NORTHEAST, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5916349 | 05 | |
| SC | NPB455 | 05 |
| Other Name | Type Code |
|---|---|
| Carolinas Pediatric Neurology Care - Charlotte Specialty Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043525280 | Cmc-northeast, Inc. | Psychiatry & Neurology | 6600 Wilkinson Blvd, Carolinas Pediatric Neurology Care - Holy Angels, Belmont, NC 28012-2796 | 2010-08-12 |
| 1184777617 | Cmc-northeast, Inc. | Counselor | 105 Yadkin Street, Suite 302, Albemarle, NC 28001-3454 | 2007-01-19 |
| 1497716989 | Cmc-northeast, Inc. | Internal Medicine | 219 Le Phillip Ct Ne, Northeast Lung Associates, Concord, NC 28025-2900 | 2006-04-01 |
| 1841595121 | Cmc-northeast, Inc. | Pediatrics | 129 Woodson St, Suite C, Salisbury, NC 28144-3255 | 2011-01-19 |
| 1669777942 | Cmc-northeast, Inc. | Psychiatry & Neurology | 129 Woodson St, Suite B, Salisbury, NC 28144-3255 | 2011-01-19 |
| 1093010407 | Cmc-northeast, Inc. | Pediatrics | 129 Woodson St, Suite A, Salisbury, NC 28144-3255 | 2011-01-14 |
| 1174823900 | Cmc-northeast, Inc. | Psychiatry & Neurology | 2550 Court Dr, Suite 203, Gastonia, NC 28054-2152 | 2010-10-27 |
| 1831407295 | Cmc-northeast, Inc. | Internal Medicine | 920 Church St N, Northeast Transition of Care, Concord, NC 28025-2927 | 2010-09-20 |
| 1033424270 | Cmc-northeast, Inc. | Psychiatry & Neurology | 1781 Tate Blvd Se, Carolinas Pediatric Neurology Care - Hickory, Hickory, NC 28602-4251 | 2010-08-12 |
| 1265747497 | Cmc-northeast, Inc. | Psychiatry & Neurology | 1010 Edgehill Rd N, Carolinas Pediatric Neurology Care - Charlotte, Charlotte, NC 28207-1885 | 2010-08-12 |
| Street Address |
1001 BLYTHE BLVD SUITE 200 CPNC - CHARLOTTE SPECIALTY CENTER |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28203-5866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699771790 | Markus Scherer | Internal Medicine | 1001 Blythe Blvd, Ste 300- Adult Cardiology, Charlotte, NC 28203-5866 | 2005-06-23 |
| 1194334417 | Sarah Hargett | Nurse Practitioner | 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203-5866 | 2020-07-23 |
| 1457985129 | Laura Abramo | Nurse Practitioner | 1001 Blythe Blvd, Ste 200d, Charlotte, NC 28203-5866 | 2020-03-02 |
| 1497388490 | Jessica Gallimore | Nurse Practitioner | 1001 Blythe Blvd, Ste 300 - Cardiac Surgery, Charlotte, NC 28203-5866 | 2020-02-18 |
| 1821620451 | Kevin Wagner | Nurse Practitioner | 1001 Blythe Blvd, Ste 300- Adult Cardiology, Charlotte, NC 28203-5866 | 2020-02-11 |
| 1336771666 | Jahaziel Rendon | Physician Assistant | 1001 Blythe Blvd, Ste 300 - Thoracic Surgery, Charlotte, NC 28203-5866 | 2020-02-05 |
| 1619508629 | Yolanda Cousen | Nurse Practitioner | 1001 Blythe Blvd, Ste 300 - Thoracic Surgery, Charlotte, NC 28203-5866 | 2020-01-29 |
| 1316597115 | Devan Herring | Dietitian, Registered | 1001 Blythe Blvd, Ste 200d, Charlotte, NC 28203-5866 | 2019-09-13 |
| 1194374793 | Catherine Shah | Nurse Practitioner | 1001 Blythe Blvd, Ste 300- Adult Cardiology, Charlotte, NC 28203-5866 | 2019-09-05 |
| 1710535786 | Cynthia Ann Klotz | Pharmacist | 1001 Blythe Blvd, Medical Center Plaza, Suite 601, Charlotte, NC 28203 | 2019-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982225983 | William Bedard Michel | Emergency Medicine | Carolina Medical Center, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-04-30 |
| 1922636927 | Paulina M Kriska | Dentist | Cmc Dental Clinic, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-03-27 |
| 1386271930 | Irina Maria Geiculescu | Pediatrics | 1000 Blythe Blvd Fl 4 Meb, Charlotte, NC 28203 | 2020-03-24 |
| 1205499316 | James C Winnek | Counselor | 1713 East Blvd., Charlotte, NC 28203 | 2019-04-16 |
| 1487114492 | Laurie Fford Counseling and Consulting Pllc | Counselor | 125 Remount Rd, Suite C-#391, Charlotte, NC 28203 | 2019-03-25 |
| 1184188815 | Sunday Money | Home Health | 2151 Hawkins St., Suite 201, Charlotte, NC 28203 | 2019-01-28 |
| 1164902706 | Lindsay Koonce Helton | Dietitian, Registered | 1218 East Blvd Ste G, Charlotte, NC 28203 | 2018-08-14 |
| 1376057406 | Veritas Collaborative Charlotte, LLC | Clinic/Center | 1900 Scott Avenue, Suite 101, Charlotte, NC 28203 | 2017-11-28 |
| 1043733306 | Kimberly Stripp | Pharmacist | 1300-b East Blvd, Charlotte, NC 28203 | 2017-07-19 |
| 1427570639 | Caroline Kaleel Fogleman | Optometrist | 1710 Kenilworth Ave Ste 210, Charlotte, NC 28203 | 2017-07-10 |
| Find all providers in zip 28203 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033675079 | Novant Medical Group Inc | Psychiatry & Neurology | 1918 Randolph Rd Ste 320, Charlotte, NC 28207-1109 | 2019-02-14 |
| 1023415981 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 12311 Copper Way, Suite 200-a, Charlotte, NC 28277-3642 | 2014-11-20 |
| 1073932885 | Neurology Wellness, Pllc | Psychiatry & Neurology | 10508 Park Rd, Ste 130, Charlotte, NC 28210-8525 | 2014-04-09 |
| 1780011825 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 2608 E 7th St, Charlotte, NC 28204-4375 | 2013-10-03 |
| 1518394659 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 101 E W T Harris Blvd, Bldg 3000 Ste 3301b, Charlotte, NC 28262-3485 | 2013-10-03 |
| 1720415946 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 1001 Blythe Blvd, Ste 200, Charlotte, NC 28203-5866 | 2013-10-02 |
| 1922367077 | Carolinas Medical Center-northeast | Psychiatry & Neurology | 4501 Cameron Valley Pkwy, Suite 301-a, Charlotte, NC 28211-4297 | 2012-05-10 |
| 1699060384 | Carolinas Medical Center-northeast | Psychiatry & Neurology | 101 E W T Harris Blvd, Bldg 3000, Suite 3301b, Charlotte, NC 28262-7000 | 2011-06-10 |
| 1265747497 | Cmc-northeast, Inc. | Psychiatry & Neurology | 1010 Edgehill Rd N, Carolinas Pediatric Neurology Care - Charlotte, Charlotte, NC 28207-1885 | 2010-08-12 |
| 1437484243 | Carolinas Physicians Network, Inc. | Psychiatry & Neurology | 10320 Mallard Creek Road, Suite 230, Charlotte, NC 28262-5209 | 2009-10-13 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.